Cérébelleux syndrome

In Neurology, a cérébelleux syndrome is a whole of signs and Symptôme S characteristics of a more or less serious attack of the Cervelet.

Semiology

The principal signs and symptoms of the Syndrome cérébelleux are: (list after, the whole sheet.)

The various stages of the disease can start with only one symptom then the others can come to the wire from time and worsen more or less quickly according to the people, resistance, the determination and the physical force of each one to fight. The people whose the mental force is weak will accelerate the appearance of the symptoms and the acceleration of their gravity, therefore at the time that one is sure diagnosis these people also must beings taken of load psychologically and helped by suitable then by a neurological follow-up and multi-field antidepressants.

Hypotonia

The Hypotonie is one of the essential components of the syndrome, it appears by the increase in the Ballant during the passive mobilization of the segments of member, by the Hyperlaxité of some articulation S and by the pendular character of the patellar and tricipitaux Réflexe S.

- excessive mental activity (One says: I ruminate all the time I do not manage to sleep I think, etc)

- coefficient of intelligence higher (high Q.I) possible among certain patients; moreover the patient remains conscious of what arrives to him and what he saw and sudden until the end of its life. The number of year to living after diagnosis depends on many different factors according to the patients but all generally declare this disease between 25 and 35 years.

syndrome with genetic heredity (recessive chromosomal attack)

Cérébelleuse Ataxia

The disorders of the Station upright and the Marche are thus characterized by the presence of a Ataxie.

the motionless Station upright difficult, is made Oscillation S abrupt, irregular, the patient must draw aside the Jambe S to maintain balance (widening of the basis of support). At least one can observe settings in tension fast and regular of the Tendon of leg former, quite visible on the former face of the ankle (Danse of the tendons). These difficulties are increased if one asks about taking support on only one foot or after a push of before behind. Finally these disorders are not worsened by the occlusion of the Yeux.
the Marche is it also disturbed. It is made yaws on a side or other, it is known as “scalloping”, the patient widens his basis of support, the isolated arms to obtain more balance. It is qualified sometimes “pseudo-ebrious” step. The steps are irregular, the movements of the lower extremities are broken up: excessive rise in the knees. In more moderated syndromes, deteriorations of walk can be highlighted at fast walk and with the execution of fast natures such “advance, move back, turn…”

Disorders of the execution of the movement

The close relations describe this disease as an early ageing of the patient (impression of living with a 80 year old person) because excessive tiredness is one of the primary symptoms. ('Patients known as: I have more 20ans, I have evil to recover , but the person has between 25 and 30 years!) One can observe disorders of the execution in space, characterized by a Dysmétrie, even a Hypermétrie, and a Asynergie, and disorders of the execution of the movements in time: Dyschronométrie or Adiadococinésie. The cérébelleux tremor is static and Cinétique, it is not a true tremor, it is only the expression of the asynergie, of the asynchronism of contraction between muscles agonists and antagonists. It is of great amplitude, is accentuated during the course of the gesture, it is marked more at the beginning or the end of the movement. It is raised by the emotion. The writing is as disturbed by the whole of these disorders, reproducing same deteriorations as one can observe in the others Geste S. As well as possible one can highlight more moderate deteriorations while asking about quickly tracing the bars of a scale.

The cérébelleuse dysarthrie

The Dysarthrie is the consequence of the incoordination of different the Muscle S interested in the Phonation. The cérébelleuse dysarthrie is also called dysarthrie ataxic. It can be of atrophic or tumoral origin. The patient presents a word " scandée" , " aboyante" , where the amplitude of the voice is never the same one. Disorder of the word of intelligibility by the others which can go until total incomprehension by the family members and as the writing is not possible any more also, it is difficult to know what thinks or wants the patient, that becomes very hard for the patient and his entourage. ( Beginning of the disorders to make practice meetings of orthoepy, in order to keep a muscular force necessary to the word ).

The serious decisions concerning the patient for the future must be taken with this one before its impossibility of being able to express them, it exists inter alia tactile systems of artificial word. (Apparatus of style piano with words necessary for the life of the every preregistered day).

Topographic syndromes

the Syndrome vermien is characterized by the importance of the disorders of statics, resulting mainly from disorders of the coordination of the axial muscles (static cérébelleux syndrome).
the side or hemispherical Syndrome is characterized by a hypotonia of rest and the incoordination of the homolatéraux members to the lesion (kinetic cérébelleux syndrome).

The cérébelleux syndrome is a Maladie not guérissable to date, but in right track, thanks to research on the genetic diseases (Telethon). To date it is possible to know in each family, the Chromosome S persons in charge of the disease by making a Blood test followed complete genetic examination. Does to identify to it (S) chromosome (S) make it possible to know if the children are carrying or not the chromosomal anomaly, but does not allow to know if this one will develop the symptoms one day or not? (Healthy carrier or carrier reaches impossible to know in advance.)

External bonds

Association CSC, To know the Cérébelleux Syndromes.

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